President Trump's signature tax and spending legislation, the "big beautiful bill," is now law, and that means cuts to Medicaid spending. The big picture: The law sets in motion almost $1 trillion in slashes to Medicaid and other health policy changes,

Now that the tax and spending bill has been signed into law, how it will impact the finances of Americans is more clear.

President Trump signed his one 'big, beautiful bill' on Friday, setting the stage for trillions of dollars worth of tax and spending policy. In North Carolina, the bill is likely to have a big impact on everything from Medicaid expansion and food stamps to the 2026 Senate election and state politics.